Active NPI
Irina N Krasilova
- Pharmacist
- Eustis, FL
National Provider Identifier
1154763290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS50578
- Practice address
- 1950 Sr 19 N
Eustis, FL 32726 - Phone
- (352) 357-5885
- NPI assigned
- Jul 17, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS50578 | FL | Primary |
Addresses
Primary practice location
1950 Sr 19 N
Eustis, FL 32726
Mailing address
1664 Glenhaven Cir
Ocoee, FL 34761-4028
Phone (352) 978-2095
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS50578 | Other | FL | LICENSE STATE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS50578 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374019200000",
"number": "1154763290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1664 GLENHAVEN CIR",
"city": "OCOEE",
"state": "FL",
"postal_code": "347614028",
"telephone_number": "352-978-2095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 SR 19 N",
"city": "EUSTIS",
"state": "FL",
"postal_code": "32726",
"telephone_number": "352-357-5885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRASILOVA",
"first_name": "IRINA",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-17",
"last_updated": "2013-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS50578",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE STATE NUMBER",
"identifier": "PS50578",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eustis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.